Associations of Cranial Outcomes and Parental Expectations and Satisfaction
Association Between Cranial Morphological Changes, Parental Expectations, and Satisfaction Following Cranial Remolding Orthosis Treatment in Infants
Gulhane School of Medicine
20 participants
Nov 25, 2025
OBSERVATIONAL
Conditions
Summary
This study aims to investigate the association between objective cranial morphological changes and parental expectations and satisfaction in infants undergoing treatment with a cranial remolding orthosis (CRO). Infants diagnosed with positional cranial deformities and prescribed CRO treatment will be included. Cranial morphological outcomes will be assessed using standardized cranial measurements obtained before and after the treatment period. Parental treatment expectations will be evaluated prior to the initiation of CRO therapy using the Treatment Expectation Questionnaire (TR.TEX-Q), while parental satisfaction with the device and treatment process will be assessed at the end of treatment using the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST). The primary objective of the study is to examine the relationships between changes in cranial morphology and parental expectations and satisfaction scores. Secondary objectives include exploring the association between baseline expectations and post-treatment satisfaction. The findings are expected to provide insight into how objective treatment outcomes align with family-reported perceptions in cranial remolding orthosis therapy.
Eligibility
Inclusion Criteria6
- Infants diagnosed with positional cranial deformities (e.g., plagiocephaly, brachycephaly, or asymmetrical cranial shape)
- Infants who received cranial remolding orthosis treatment
- Use of a custom-made cranial remolding orthosis
- Availability of pre-treatment and post-treatment cranial measurements
- Parents or legal guardians who provided informed consent and were able to complete expectation and satisfaction questionnaires
- Infants who completed the planned cranial remolding orthosis treatment and follow-up period
Exclusion Criteria6
- Infants with neurological disorders, genetic syndromes, or congenital conditions affecting cranial growth
- Infants who underwent previous cranial surgery or other cranial interventions
- Infants who received non-custom-made or prefabricated cranial orthoses
- Incomplete clinical records or missing pre- or post-treatment cranial measurements
- Parents or caregivers unable to complete the questionnaires due to language or cognitive limitations
- Infants with a diagnosis of microcephaly or macrocéphaly.
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Interventions
The intervention consisted of treatment with a custom-fabricated cranial remolding orthosis (CRO). Each orthosis was individually designed based on the infant's cranial shape using three-dimensional cranial scanning and computer-aided modeling. A mold was produced using CNC technology, and a thermoplastic material was formed over the mold to create the final orthosis. The fabricated CRO was delivered to the clinic within a few days and fitted to the infant. During the initial fitting, the orthosis was clinically inspected for proper fit and for any signs of skin redness, irritation, or pressure-related issues. Necessary adjustments were made, and parents were provided with detailed instructions regarding orthosis use and care. Infants were subsequently scheduled for regular clinical follow-up, and only custom-fabricated cranial remolding orthoses were included in the study.
Locations(1)
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NCT07356401